Kim Seong Min, Han Seok Joo, Choi Hong Sik, Nam Yong Taek, Oh Jung Tak, Choi Seung Hoon
Division of Pediatric Surgery, Department of Surgery, Yonsei University College of Medicine, Shinchon-dong 134, Seodaemoon-gu, 120-752 Seoul, South Korea.
Pediatr Surg Int. 2008 Mar;24(3):383-6. doi: 10.1007/s00383-007-1937-3. Epub 2007 May 24.
The aim of this study was to introduce a new surgical technique for the correction of congenital laryngeal atresia. A female baby had laryngeal atresia at birth and received emergency tracheostomy at another hospital. The baby visited our hospital at 7 months of age for corrective surgery of airway obstruction. We used a new surgical technique for reconstruction of her airway, the slide thyrocricotracheoplasty, which was a modification of slide tracheoplasty and anterior cricoid split. The extubation was successful at the postoperative fifth day, and the baby was discharged on the 33rd day after operation. The serial follow-up bronchoscopy on the fourth and 18th postoperative months revealed good healing and normal growth of tissue at operation site without stenosis and granulation. Slide thyrocricotracheoplasty produced a desirable result and offered the same advantages as slide tracheoplasty. The authors believe that this technique offers an efficient surgical procedure for the single-staged correction of congenital laryngeal atresia.
本研究的目的是介绍一种用于矫正先天性喉闭锁的新手术技术。一名女婴出生时患有喉闭锁，并在另一家医院接受了紧急气管切开术。该婴儿7个月大时到我院进行气道梗阻矫正手术。我们采用了一种新的气道重建手术技术——滑动甲状软骨气管成形术，该技术是对滑动气管成形术和环状软骨前部劈开术的改良。术后第5天拔管成功，术后第33天婴儿出院。术后第4个月和第18个月的系列随访支气管镜检查显示，手术部位组织愈合良好且生长正常，无狭窄和肉芽形成。滑动甲状软骨气管成形术取得了理想的效果，并具有与滑动气管成形术相同的优势。作者认为，该技术为先天性喉闭锁的一期矫正提供了一种有效的手术方法。
